Individual
KENNETH GERACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
294 DEARCOP DR, ROCHESTER, NY 14624
(585) 351-9682
Mailing address
294 DEARCOP DR, ROCHESTER, NY 14624
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
61068
CA
1223P0700X
Prosthodontics
Primary
054459
NY
Other
Enumeration date
07/14/2008
Last updated
10/10/2016
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